You searched for:"Edmilson Bastos de Moura"
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Case Reports
Mechanical ventilation in Coffin-Lowry syndrome: a case report
Rev Bras Ter Intensiva. 2016;28(4):483-487
Abstract
Case ReportsMechanical ventilation in Coffin-Lowry syndrome: a case report
Rev Bras Ter Intensiva. 2016;28(4):483-487
DOI 10.5935/0103-507X.20160081
Views0ABSTRACT
We describe a 27-year-old patient with Coffin-Lowry syndrome with severe community pneumonia, septic shock and respiratory failure. We summarize both the mechanical ventilatory assistance and the hospitalization period in the intensive care unit.
Keywords:Abnormalities, multiple/geneticsCase reportsCoffin-Lowry syndrome/diagnosisCoffin-Lowry syndrome/therapyMental retardation, X-linkedSee more -
Case Report
Acute respiratory failure caused by organizing pneumonia secondary to antineoplastic therapy for non-Hodgkin’s lymphoma
Rev Bras Ter Intensiva. 2012;24(4):415-419
Abstract
Case ReportAcute respiratory failure caused by organizing pneumonia secondary to antineoplastic therapy for non-Hodgkin’s lymphoma
Rev Bras Ter Intensiva. 2012;24(4):415-419
DOI 10.1590/S0103-507X2012000400020
Views0Interstitial lung diseases belong to a group of diseases that typically exhibit a subacute or chronic progression but that may cause acute respiratory failure. The male patient, who was 37 years of age and undergoing therapy for non-Hodgkin’s lymphoma, was admitted with cough, fever, dyspnea and acute hypoxemic respiratory failure. Mechanical ventilation and antibiotic therapy were initiated but were associated with unfavorable progression. Thoracic computed tomography showed bilateral pulmonary “ground glass” opacities. Methylprednisolone pulse therapy was initiated with satisfactory response because the patient had used three drugs related to organizing pneumonia (cyclophosphamide, doxorubicin and rituximab), and the clinical and radiological symptoms were suggestive. Organizing pneumonia may be idiopathic or linked to collagen diseases, drugs and cancer and usually responds to corticosteroid therapy. The diagnosis was anatomopathological, but the patient’s clinical condition precluded performing a lung biopsy. Organizing pneumonia should be a differential diagnosis in patients with apparent pneumonia and a progression that is unfavorable to antimicrobial treatment.
Keywords:Case reportsCryptogenic organizing pneumoniaDrug toxicityLung diseases, interstitialLymphoma, non-HodgkinRespiratory insufficiencyTomography, X-ray computedSee more -
Original Articles
Correlation of the EuroSCORE with the onset of postoperative acute kidney injury in cardiac surgery
Rev Bras Ter Intensiva. 2013;25(3):233-238
Abstract
Original ArticlesCorrelation of the EuroSCORE with the onset of postoperative acute kidney injury in cardiac surgery
Rev Bras Ter Intensiva. 2013;25(3):233-238
DOI 10.5935/0103-507X.20130040
Views0OBJECTIVE:
The objective of this study was to assess the correlation between the European System for Cardiac Operative Risk Evaluation (EuroSCORE) score and the risk of developing acute kidney injury in cardiac surgery patients.
METHODS:
This retrospective study was conducted at a tertiary hospital on consecutive cardiac surgery patients (e.g., valvular, ischemic and congenital heart diseases) between October 2010 and July 2011.
RESULTS:
One hundred patients were assessed. Among the 100 patients, six were excluded, including five because of prior kidney disease or dialysis therapy and one because of incomplete medical records. The primary surgical indications were myocardial revascularization in 55 patients (58.5% of cases) and valve replacement in 28 patients (29.8%). According to the EuroSCORE, 55 patients were classified as high risk (58.5%), 27 patients as medium risk (28.7%) and 12 patients as low risk (12.8%). In the postoperative period, patients were classified with the Risk, Injury, Failure, Loss and End-stage kidney disease (RIFLE) score. Among the 31 patients (33%) who displayed an increase in serum creatinine, 18 patients (19.1%) were classified as RIFLE “R” (risk), seven patients (7.4%) were classified as RIFLE “I” (injury) and six patients (6.5%) were classified as RIFLE “F” (failure). Among the patients who were considered to be high risk according to the EuroSCORE criteria, 24 patients (43.6%) showed acute kidney injury. Among the patients who were classified as medium or low risk, acute kidney injury occurred in 18.5 and 16.6% of the cases, respectively. The correlations between risk stratification (low, medium and high) and the EuroSCORE and postoperative RIFLE scores were statistically significant (p=0.03).
CONCLUSION:
In the studied population, there was a statistically significant correlation between the EuroSCORE and the risk of developing acute kidney injury in the postoperative period after cardiac surgery.
Keywords:Acute kidney injuryPostoperative complicationsRenal dialysisRisk assessmentSeverity of illness indexThoracic surgerySee more
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Case reports Child Coronavirus infections COVID-19 Critical care Critical illness Extracorporeal membrane oxygenation Infant, newborn Intensive care Intensive care units Intensive care units, pediatric mechanical ventilation Mortality Physical therapy modalities Prognosis Respiration, artificial Respiratory insufficiency risk factors SARS-CoV-2 Sepsis